Evidence map›Paper›PMID 40360398›Full record

ArticleBMJ open2025

Which outcomes should be included in a core outcome set for capturing and measuring doctor well-being? A Delphi study.

Gemma Simons, Naomi Klepacz, David S Baldwin

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Gemma SimonsUniversity of Southampton Faculty of Medicine, Southampton, UK.ORCID http://orcid.org/0000-0003-2454-5948
Naomi KlepaczNIHR Applied Research Collaboration Wessex, Southampton, UK n.klepacz@exeter.ac.uk.ORCID http://orcid.org/0000-0001-7552-8000
David S BaldwinUniversity of Southampton Faculty of Medicine, Southampton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop a core outcome set (COS) to capture and measure the well-being of doctors working in the National Health Service (NHS).

designAn online Delphi study.

settingUK NHS.

participantsParticipants from four stakeholder groups: (1) those who might use the COS in research, (2) organisations that measure/capture NHS staff well-being, (3) professionals with experience managing NHS staff well-being and (4) NHS doctors were identified through authorship of relevant publications, attendee lists of doctor well-being conferences and meetings, professional bodies, participation in a previous study and recommendations from others. They were recruited via email.

interventionsA two-stage process: (1) creating a list of 43 well-being outcomes informed by a systematic review of well-being measurement instruments, a survey of UK doctors and two doctor engagement workshops and (2) an online Delphi study (with two rounds) to reach consensus. Outcomes were rated on a 9-point Likert scale; 'consensus' was reached when ≥75% agreed that an outcome was critical for inclusion in the COS.

results52 participants completed both Delphi rounds. Seven well-being outcomes met the threshold for inclusion in the COS: general well-being, health, personal safety, job satisfaction, morale, life work balance and good clinical practice.

conclusionsUse of the COS has the potential to reduce heterogeneity and standardise the capture and measurement of doctor well-being, and ensure outcomes important to all stakeholders are reported.

trial registrationThis study was prospectively registered with the Core Outcome Measures in Effectiveness Trial initiative at www.comet-initiative.org (Registration: 1577).

Indexed as

Outcome Assessment, Health CarePhysiciansAdultConsensusDelphi TechniqueFemaleHumansMaleMiddle AgedState MedicineUnited KingdomDelphi TechniqueHealth WorkforceMENTAL HEALTH

Identifiers

PMID40360398
PMCPMC12083382

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.